DANIEL R FULK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

Last Name

FULK

Business Name

DANIEL R FULK DO

Original Issue Date

06/08/2011

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023